Provider Demographics
NPI:1467810812
Name:MOSS, NANCY E (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:E
Last Name:MOSS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:E
Other - Last Name:CASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:1634 EYE ST NW STE 1200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-4011
Mailing Address - Country:US
Mailing Address - Phone:202-630-1081
Mailing Address - Fax:
Practice Address - Street 1:1634 EYE ST NW STE 1200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4011
Practice Address - Country:US
Practice Address - Phone:202-630-1081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-31
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500800091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical